Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.65 / $3,119.00 / $14,482.00	Facility		$85.65	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $129.72 / $139.52	Professional		$85.65	$129.72	$139.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,856.00 / $4,638.00	Facility		$1,314.00	$2,856.00	$4,638.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.26 / $316.52 / $896.23	Professional		$140.26	$316.52	$896.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.65 / $140.09 / $279.08	Facility		$85.65	$140.09	$279.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.30 / $1,309.00 / $2,090.40	Facility		$151.30	$1,309.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $304.72 / $769.20	Professional		$154.10	$304.72	$769.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $85.65 / $139.01 / $164.99	Facility		$85.65	$139.01	$164.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.58 / $328.79 / $469.70	Professional		$230.58	$328.79	$469.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $646.40 / $646.40 / $646.40	Facility		$646.40	$646.40	$646.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $582.98 / $781.34 / $781.34	Professional		$582.98	$781.34	$781.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,455.00 / $2,202.90	Facility		$1,034.00	$1,455.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $286.20 / $615.22	Professional		$153.69	$286.20	$615.22